Organization
MANGUM CITY HOSPITAL AUTHORITY
Active
Other names
Mangum Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA SNIDER (CONTROLLER)
(580) 782-3353
Entity
Organization
Contact information
Practice address
118 S LOUIS TITTLE AVE, MANGUM, OK 73554-4441
(580) 782-2000
(580) 782-5906
Mailing address
PO BOX 280, MANGUM, OK 73554-0280
(580) 782-2000
(580) 782-5103
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/26/2017
Last updated
10/06/2020
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